So I am auditing our providers charts for E/M levels. We are supposed to "show our work" and break down the documentation to show how many HPI elements we find, ROS, PFSH and then show what the total history is. Then the Exam and MDM. Then show what the total E/M level equals out to. My problem with this is that sometimes the documentation calculates to lets say a 99214 for someone that came in for a cold, and I would really code it as a 99213. How do you explain this to providers? All of the documentation equals a certain level, but that scrap that I would actually code this completely different? What do you do in this situation? I mentioned this to my manager and she said most of our providers down code anyway and this is just good feedback for them. Any help is appreciated!